When patient safety and skills development go hand in hand through targeted prevention and treatment of pressure ulcers in patients with spinal-cord injury

Publikation: KonferencebidragPosterForskningpeer review

Abstract Content: Background
Pressure ulcers (PU) and wounds are a commonly seen complication of spinal cord injury (SCI), which can lead to
prolonged hospital admission and other serious complications including infection, pain, and spasticity. However, with a
targeted effort, many PU/wounds can be prevented and patient safety increased. It has, however, proved difficult to
achieve continuous and systematic PU/wound care. The Spinal Cord Injury Centre of Western Denmark has developed
the PU/wound patrol, a new initiative that has also been tested and evaluated among the Centre’s nursing staff.
Aims
- to increase patient safety through conscious, targeted monitoring and treatment by nurses of all types of
PU/wounds observed in patients at the Centre
- to ensure a high degree of professionalism in rehabilitative nursing care given to patients with PU/wounds, by
developing nursing skills
Method
The PU/wound patrol consists of two experienced nurses who examine patients with PU/wounds each week, or every
other week, alongside the care staff who work with the patient.
The PU/wound patrol’s assistance consists in measuring, photographing, caring, treating, documenting the PU/wound.
Furthermore they plan future PU/wound care and involve the patient in the prevention and treatment efforts, considering
his or her abilities and capacity for self-care. They also focus on cross-disciplinary sharing of information to health-care
partners.
A nursing staff questionnaire survey was used to investigate the intervention’s effect on skills development and
systematic PU/wound care.
Results
Questionnaires were returned by 19 nurses and 15 social and health-care assistants (response rate 76%). Of these
respondents, 91% believed they had the necessary skills in preventive PU/wound care; and 73% believed they could
provide PU/wound-care treatment; whereas only 55% assessed themselves as competent to document PU/wound
treatment. The nursing staff experienced increased qualification and skills acquisition through their work with the
PU/wound patrol, and they reported the benefit of being able to engage in nursing feedback and discussion with two
colleagues experienced in PU/wound care. Therefore, 97% of respondents also stated that they wished to have the
PU/wound patrol continue.
Submission for: Poster presentation
OriginalsprogEngelsk
Udgivelsesår27 maj 2017
StatusUdgivet - 27 maj 2017

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